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North Carolina rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.78 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.22 / $1,424.15 / $2,635.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.19 / $2,600.33 / $3,669.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.56 / $1,923.44 / $3,499.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.22 / $1,749.00 / $2,687.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.50 / $1,732.00 / $1,779.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,801.70 / $3,614.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.65 / $1,747.27 / $3,224.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,306.40 / $25,306.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,963.04 / $9,963.04 / $11,883.75